Active NPI
Tekshia Innocent
- Social Worker
- Rockville, MD
National Provider Identifier
1932829785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 28298
- Practice address
- 966 Hungerford Dr Ste 20a
Rockville, MD 20850-1741 - Phone
- (240) 681-5058
- NPI assigned
- Aug 31, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 28298 | MD | Primary |
Addresses
Primary practice location
966 Hungerford Dr Ste 20a
Rockville, MD 20850-1741
Mailing address
966 Hungerford Dr Ste 20a
Rockville, MD 20850-1741
Phone (240) 681-5058
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28298 | MD | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Waters Psychotherapy, LLC | Current | Accepting new patients |
Locations
966 Hungerford Dr
Ste 20A
Rockville, MD 20850
Phone (240) 482-9130
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Rockville, MD
- NPI 1083100630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661904000000",
"number": "1932829785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "966 HUNGERFORD DR STE 20A",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208501741",
"telephone_number": "240-681-5058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "966 HUNGERFORD DR STE 20A",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208501741",
"telephone_number": "240-681-5058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INNOCENT",
"first_name": "TEKSHIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-31",
"last_updated": "2022-08-31",
"certification_date": "2022-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "28298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.